Trade Test Application Form – Rev.01 Page 1 of 4

TRADE TESTING APPLICATION FORM

PLEASE SELECT THE PROVINCE WHERE YOU RESIDE

GAUTENG

NORTH WEST LIMPOPO

WESTERN CAPE

NORTHERN CAPE

EASTERN CAPE

KWAZULU NATAL

FREE STATE MPUMALANGA

PERSONAL INFORMATION TITLE (Mr. Mrs. Ms.) INITIALS SURNAME

FIRST NAMES IN FULL (as per ID)

RSA (Identity Document number)

DATE OF BIRTH (YYYY/MM/DD)

RACE

AFRICAN

COLOURED

INDIAN

WHITE

GENDER

FEMALE

MALE

DO YOU HAVE A DISABILITY YES NO IF YES SPECIFY

DISABILITY AND ATTACH CERTIFICATE

POSTAL ADDRESS PHYSICAL ADDRESS

CODE: CODE:

MUNICIPALITY

HOME TEL. NO.

CELL PHONE NO.

E-MAIL ADDRESS

ALTERNATIVE CONTACT PERSON

CELL PHONE NO.

E-MAIL ADDRESS

NAME OF EMPLOYER

ARE YOU CURRENTLY EMPLOYED?

YES

NO

TRADE APPLYING FOR (PS TICK)

TRADE

TRADE

TRADE

BRICKLAYER

JOINER

ELECTRICIAN (CONSTRUCTION)

BRICKLAYER AND PLASTERER

JOINER AND WOODMACHINIST

ELECTRICAL WIREMAN

CARPENTER

PLASTERER

PLUMBER

CARPENTER AND JOINER

TILER

PAINTER AND DECORATOR

Trade Test Application Form – Rev.01 Page 2 of 4

EDUCATIONAL QUALIFICATIONS

FET COLLEGE ATTENDED

PERIOD ATTENDED

FROM

TO

QUALIFICATION/S COMPLETED (PLEASE TICK)

NATED PROGRAMMES

N1

N2 N3 N4 N5 N6

NATIONAL CERTIFICATE (VOCATIONAL)

NCV2

NCV3

NCV4

NAME OF LAST SCHOOL ATTENDED

TOWN/SUBURG/VILLAGE

MUNICIPALITY

PERIOD

FROM

TO

HIGHEST GRADE PASSED

SUBJECTS PASSED

ENTRY REQUIREMENTS QUESTIONNAIRE

1. Do you have minimum of five years appropriate practical site experience in the trade

concerned OR

YES

NO

2. (a) Four years’ appropriate practical site experience in the trade concerned, and

YES

NO

(b) a National Technical Certificate, Part 2 (N2 or equivalent ) in the relevant trade, with a

pass in trade theory; OR

YES

NO

3. (a) Three years appropriate practical site experience in the trade concerned, and

YES

NO

(b) Completed all Skills Register based TPC tasks in the trade concerned; OR

YES

NO

4. Former apprentices who have failed a CETA designated trade test; OR

YES

NO

Trade Test Application Form – Rev.01 Page 3 of 4

RULES FOR COMPLETING THE FORM

- Application forms that are incomplete will be disqualified - Invalid or incorrect contact details automatically disqualify the applicant - Applicants must be South African Citizens

The following certified documents MUST be attached to this application or the applicant will be disqualified

ID size or passport photo printed on photo paper (to be appended to right hand corner of application form)

Original certified copy of Green RSA Identity Document

Original certified copy of highest qualification (Matric certificate or FET College statement of results)

Original letter/s of experience on a letterhead signed by the owner/Managing Director/CEO of the company/ies

1. Letter of experience from (name of company):

2. Letter of experience from (name of company):

3. Letter of experience from (name of company):

4. Letter of experience from (name of company):

5. Letter of experience from (name of company):

6. Letter of experience from (name of company):

Proof of banking details (Bank statement or stamped letter from the bank only)

Proof of residential address (original municipal account, bank statement, account statement or original letter from Tribal Authority or Councillor)

Affidavit in support of proof of address (if address is not in the name of the learner)

Learners with a disability and those applying for trade a related learnership: attach a medical certificate. Do not send original documents, attach certified copies.

Duly completed and signed notification to host a prospective learner on an Apprenticeship signed by the prospective apprentice and prospective employer

DECLARATION

I declare that I am aware of the rules of this application and that I understand them. I declare that the information supplied in this application is true and correct. I understand that any false information will automatically disqualify me from being part of

the CETA funded learning programme. Print name and Surname : ____________________________________________________________

Signature : _____________________________________________________________

Date : _______________________________________________________________

Trade Test Application Form – Rev.01 Page 4 of 4

FOR OFFICE USE

CHECKED BY CETA LPQD

DOES THE LEARNER QUALIFY TO ENROL ON THE APPRENTICESHIP?

YES

NO

COMMENTS

IF NO, REASONS

Learner does not meet qualification entry requirements

Learner does not have sufficient experience for a trade test

Learner does not meet other DHET requirements

Not a South African citizen

APPLICANT NOTIFIEDOF DECISION

YES

NO

NAME

SIGNATURE

DATE